In this episode of Bending the Trend, host Norm Volsky speaks with Pat Moore, co-founder of Pretekt, about innovative strategies in employee benefits, particularly for mid-market employers. They discuss the importance of care navigation, direct primary care, and the impact of these solutions on healthcare costs. Pat shares insights on how to effectively implement these strategies and the challenges faced in the healthcare industry.

Takeaways

👩‍⚕️ Pat Moore emphasizes the importance of nurse care navigators in employee benefits.

🏢 Mid-market employers often struggle with point solutions designed for larger companies.

🔍 The “try” approach encourages employers to take small steps toward better healthcare solutions.

🏥 Direct primary care can significantly reduce costs and improve access to care.

💰 Employers can save up to 20% on MSK spend by implementing effective solutions.

⚕️ DPC for expensive services can provide better care without high costs.

🧭 Navigating healthcare outside of insurance networks can lead to substantial savings.

💊 Employers need to focus on direct sourcing for medications and treatments.

🚀 The healthcare industry needs innovative solutions to improve cash-pay options.

🤝 Pat encourages collaboration and communication among employers to tackle rising healthcare costs.

Chapters

00:00 Introduction to Employee Benefit Strategies

02:48 Navigating Mid-Market Solutions

05:40 Direct Primary Care and Its Impact

08:32 Challenges in Employee Benefits

11:18 Innovative Solutions and Future Opportunities

15:25 Bending the Trend Outro 

Summary

In this episode of Bending The Trend, Norman Volsky interviews Jake Frankel, founder of ASF Strategies, discussing innovative strategies to combat rising healthcare costs. They explore effective vendor strategies for mid-market companies, the importance of payment integrity, and the role of reimbursement-focused strategies in controlling costs. Jake emphasizes the need for better marketing to employees about available healthcare solutions and shares insights on the challenges faced by benefits leaders.

Takeaways

🔍 The best vendor strategies are often unnoticed by employees
 🛑 Efficient stop-loss purchasing is crucial for cost savings
 💰 Payment integrity solutions can drive meaningful savings
 📊 Reference-based pricing remains a powerful cost-control lever
 🤝 Direct contracting vendors help employers better manage healthcare spend
 🩻 Radiology services can unlock substantial system-wide savings
 🏥 Advanced primary care is essential—but still often overlooked
 📣 Strong employee marketing boosts engagement with healthcare plans
 🧠 Understanding the technical details behind solutions is critical to success
 😊 Building positive regard for healthcare plans directly impacts employee satisfaction

Chapters

00:00 Introduction to Healthcare Cost Strategies

03:01 Effective Vendor Strategies for Mid-Market Companies

06:03 Innovative Approaches to Cost Control

08:59 Challenges in Employee Engagement and Marketing

12:01 Final Insights and Advice for Benefits Leaders

In this episode of Bending the Trend, Norm and Shawn Gremminger discuss the challenges of rising healthcare costs and the role of various vendors in the healthcare ecosystem. They explore the importance of accountability, the mixed results of implementing new healthcare solutions, and the balance between cost savings and employee satisfaction. Sean highlights the challenges faced by benefits leaders, including point solution fatigue and the need for transparency in the healthcare system.

Takeaways

🎯 Employers are looking for real accountability in healthcare solutions
 🧭 The patient experience improves with better navigation tools
 ⚖️ There is often no correlation between healthcare price and quality
 ⚖️ Benefits leaders must balance cost savings with employee satisfaction
 😵‍💫 Point solution fatigue is a significant challenge for benefits leaders
 🤝 Consultants and brokers play a crucial role in the healthcare ecosystem
 🔍 Transparency in healthcare compensation is essential for meaningful change
 🎯 Employers need to align their goals with the solutions they choose
 💰 Savings are important, but they are only part of the equation
 🔗 The healthcare ecosystem needs better coordination among solutions

Sound Bites

😊 Employers want to keep people happy
😵‍💫 Point solution fatigue is a real challenge
⚖️ Consultants are often deeply conflicted

Chapters

00:00 Introduction to Healthcare Cost Challenges

02:57 Evaluating Healthcare Vendors

05:57 Navigating Patient Care and Cost

09:01 Challenges for Benefits Leaders

12:05 The Role of Transparency in Healthcare

In this episode of Bending the Trend, Norm and Scott Kirschner discuss strategies to combat rising healthcare costs through innovative vendor partnerships and solutions. Scott shares his experiences at Greystar and previous roles, highlighting successful implementations of cancer care and mental health solutions. The conversation emphasizes the importance of engaging employees in their health and the potential for cost savings through effective healthcare management. Let's get to specifics, hear Scott chat about saving almost $3 million with Lantern! He shouts out specific vendors that have saved him money. Learn from his fantastic action oriented mentality that has driven his career forward. If you are a benefits leader, this is for you. 

💰 The goal is to fight rising healthcare costs through collaboration.
🤝 Vendor relationships are crucial for effective benefits management.
🎗️ Cancer care solutions can significantly improve patient outcomes.
🧠 Mental health access remains a critical challenge in healthcare.
🩺 Innovative diabetes management can lead to better health outcomes.
👥 Engaging employees in their health can reduce overall costs.
📉 Implementing new solutions can lead to substantial cost savings.
📣 Awareness and marketing are key to successful healthcare programs.
🧭 Digital navigation in healthcare is an area with untapped potential.
🔗 Future solutions should focus on real-time connectivity with medical records.

Chapters
00:00
Introduction to Bending the Trend
01:06
Vendor Recommendations and Experiences
03:29
Navigating Cancer Care Solutions
06:55
Addressing Mental Health Challenges
09:30
Innovative Solutions in Diabetes Management
12:06
Impact of Implementing Lantern and RULA
15:51
Measuring Success and Cost Savings
17:14
Future Challenges in Digital Navigation